What Can Be Done for Pulled-in Surgery Scars?

Retracted or depressed scars can result from scar tissue or an absence of volume.  I would begin by examining the area and determining the extent of volume loss.

Pulled in or retracted scars are not uncommon after lumpectomy and radiation. When the breast tissue is removed, this creates a space and scar tissue that can cause the skin to pull in. Also, the radiation can lead to more tightening of the tissues and further pulling in of the skin. Your surgeon needs to evaluate the scar and fill in any missing tissue and/or release any tight scars inside that may be pulling your skin.

You may need more volume to fill in the defect. This is usually done with either local or distant pedicled flaps or free flap.  You should be evaluated by your surgeon for these options.

You have pulled in scar because the breast tissue was removed and the remaining breast tissue was radiated. The best treatment is to bring healthy new tissue from another part of your body. This can be done by a free flap breast reconstruction . There is another novel treatment that offered by Dr.Khouri in Miami . He uses Brava tissue expander for 4 weeks and then performs fat grafting. I been to see him do this procedure. I have started to offer this to my patients and been very happy with the results so far.